HomeMy WebLinkAboutOP-03-2023-190821.tif CATAWBACOUNTY Case# OP-03-2023-190821
Public Health Department Subdivision
Environmental Health Division PIN# 376404832945
PO Box 389,25 Governmeni Drive,Newton,NC 28658 LOT#
/ 42 sM
Site Address: 5279 BOLICK RD, CLAREMONT NC 28610
Name on Permit: MELISSA FALCONE
Property Size: Acres 0.77
Directions: NC 16, Right onto Oxford School Rd, Left River Bend RD, Right Bolick RD
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
Types V and VI systems expire in 5 years.
Owner must contact Environmental Health 6 months prior to expiration for permit renewal.
System Installation Comments: System was able to be installed gravity.Pump not needed.
NEW 1000 GAL SEPTIC TANK,TP-1000,STB-1012, 11/22
PERMIT CONDITIONS:
1.All maintenance, monitoring,&performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2.Operation&Maintenance Specifics: *PUMP SEPTIC TANK AND CELAN FILTER EVERY 3
YEARS
Subsurface system operator required? Yes No_X
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
KELLY ISENHOUR#1099 03/09/2023
System Installer Installation Date
/./F1...„,„ ice„ C„4n1
03/09/2023
Authorized State Agent Permit Issuance Date Form F
chpernnt 03/31/2023 13:56
Catawba County Environmental Health 18PR-4s7'aoaa-yaD'a
0 ID .... 1
_ _ go 8:),2
$0CicK RD
2d (190)
A c1
• � .5279
Lra r
at
J
i
• �• f/0/Y1
• ,tQp.� S gel ii—
C
�� Elv ••%
So' 188.85 38 r
Parcel: 376404832945, 5279 BOLICK RD 1in=40ft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospatlel Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location end labeling Information contained on this map or data on this report Catawba County promotes and recommends
the Independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by aCnoyppeers 2o2e Catawba County NC
03/09/2023